Group B Streptococcus colonization among Saudi women during labor

Musleh, Jehan; Qahtani, Nourah Al

doi:10.4103/sjmms.sjmms_175_16

Cited by 14 publications

(8 citation statements)

References 21 publications

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“…In Nigeria, prevalence values ranging from 4% -18% have been reported [1][2][3][4]. Reports from some other countries have revealed prevalence rates such as 20.9% in Ethiopia [5], 19% in Saudi Arabia [6] and14% in Brazil [7]. GBS colonization of the birth canal during pregnancy has been noted to result in miscarriage, stillbirths, prematurity and neonatal sepsis [1,3].…”

Section: Introductionmentioning

confidence: 99%

Group B Streptococcus Colonization in Pregnancy: Prevalence, Determinants and Antibacterial Susceptibility Pattern in Sagamu, Nigeria

Akadri¹,

Osuolale²,

Shorunmu³

et al. 2019

JAMMR

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Aims:To establish the prevalence, determinants and the antibiotic susceptibility pattern of Group B streptococcus in pregnant women in Sagamu, Ogun State, Nigeria. Study Design: Prospective cross-sectional study Place and Duration of Study: The study was carried out at the antenatal clinic at Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria, between July 2017 and December 2017. Methodology: The study involved 184 pregnant women attending antenatal clinic. Lower vaginal and rectal swabs were collected under aseptic condition and immediately sent to the laboratory for processing. The samples were assayed for the presence of group B streptococcus using Akadri et al.; JAMMR, 29(10): 1-8, 2019; Article no.JAMMR.49367 2 conventional methods. Information on the socio demographic characteristics and details of delivery were recorded on a data capture sheet. Results: The prevalence of Group B streptococcus was 27.7%. The odds of Group B streptococcus colonization was significantly higher among women of low parity (≤ 2) and binary logistic regression analysis showed that parity was predictive of Group B streptococcus colonization (OR 3.7; 95% CI = 1.03-13.46; P=.045). Younger women (age ≤ 30 years) and women carrying term pregnancies had a non significant trend towards higher odds of Group B streptococcus colonization [(OR= 1.22, 95% CI: 0.6-2.3, P = .54) and (OR=1.6, CI: 0.8-3.2; P = .15) respectively]. The resistance of group B streptococcus isolates to penicillin and ampicillin was 39.2% and 37.3% respectively. Conclusion: The group B streptococcus colonization rate in this study is high. Factors such as low parity, young maternal age and term pregnancies are associated with increased odds of colonization. The emergence of resistance to the commonly prescribed antibiotics calls for reevaluation of the current recommendations regarding the antibiotics prophylaxis. Original Research Article

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Section: Introductionmentioning

confidence: 99%

Group B Streptococcus Colonization in Pregnancy: Prevalence, Determinants and Antibacterial Susceptibility Pattern in Sagamu, Nigeria

Akadri¹,

Osuolale²,

Shorunmu³

et al. 2019

JAMMR

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“…[ 18 19 ] Recent studies from Middle Eastern countries also show significant variance in the prevalence of GBS colonization. [ 13 14 15 18 19 20 24 ] The varying rates of colonization can be partly explained by difference in socioeconomic groups, education level and acceptance of medical and diagnostic facilities.…”

Section: Discussionmentioning

confidence: 99%

“…From the Middle East, studies have found the prevalence of maternal GBS colonization to range from 3.3% to 31.6%;[ 13 14 15 ] however, there is no recent study from the United Arab Emirates (UAE) reporting the clinico-bacterial profile, prevalence, and antibiotic sensitivity pattern. Accordingly, this study was conducted to determine the prevalence of GBS colonization in pregnant women from UAE after 35 weeks of gestation as well as determine their clinical profile, the maternal and fetal outcome of those colonized with GBS, and the antibiotic sensitivity pattern of GBS.…”

Section: Introductionmentioning

confidence: 99%

Clinical Profile and Outcome of Group B Streptococcal Colonization in Mothers and Neonates in Ras Al Khaimah, United Arab Emirates

Al-Zuheiri

Dube²,

Menezes

et al. 2021

Saudi Journal of Medicine &Amp; Medical Sciences

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Background: Maternal Group B Streptococcus (GBS)/Streptococcus agalactiae colonization rates vary worldwide; however, no such recent data are available from the United Arab Emirates (UAE). Objective: The objective of this study was to determine the prevalence of GBS colonization among pregnant women attending an antenatal clinic of a hospital in Ras Al Khaimah, UAE, along with the antibiotic sensitivity pattern, the clinical profile and pregnancy (maternal and fetal) outcome. Methods: This prospective observational study routinely offered rectovaginal swab for GBS to all women attending the antenatal clinic at 35–37 weeks of pregnancy between January and December 2019. MASTASTREP kit and Vitek-2 identification system was used for culture and identification. Women with positive cultures were followed up for any maternal and neonatal complications and the use of intrapartum antibiotic prophylaxis (IAP). Results: A total of 2295 women were included, of which 158 (6.9%) had positive cultures for GBS colonization. The carriage rate was higher in women without any risk factors for early-onset GBS disease (EOGBS) (P < 0.01). The GBS isolates were about 97% susceptible to linezolid and vancomycin, 90% to benzyl penicillin and 95% to ampicillin. Resistance to trimethoprim/sulfamethoxazole, clindamycin, erythromycin, and levofloxacin were about 77%, 57%, 57%, and 10%, respectively. Urinary tract infection in GBS colonized women were more common in those aged ≤30 years (P = 0.009). Fetal outcome was favorable in women receiving IAP for GBS colonization. No neonate had culture proven EOGBS. Conclusion: The prevalence of GBS colonization in pregnant women as well as the overall maternal and neonatal complications is low in Ras Al Khaimah, UAE. IAP is effective in preventing early-onset sepsis in newborn, and thus should be initiated in those with GBS colonization. The cultured GBS showed sensitivity to most antibiotics.

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“…Group B Streptococcus (GBS), also known as Streptococcus agalactiae, is an encapsulated gram-positive diplococcus, normally found in the female urogenital tract and rectum. Vaginal colonization of GBS can lead to maternal and neonatal complications, even when it is asymptomatic [ 1 ]. Vertical transmission of GBS before or during delivery is a major cause of premature rupture of the membranes, pre-term delivery, and low birth weight.…”

Section: Introductionmentioning

confidence: 99%

“…Early and late onsets are two different forms of the disease. The most common cause of neonatal GBS disease is an early-onset infection, which usually occurs within the first week of life, whereas late-onset infection occurs anytime up to three months postpartum [ 1 ]. The prevalence of maternal GBS colonization varies from 15% to 30% worldwide [ 3 ]; however, in Saudi Arabia, different regions have reported a range of 9.2%-31.6% [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Awareness of Pregnancy Screening for Group B Streptococcus Infection Among Women of Reproductive Age and Physicians in Jeddah, Saudi Arabia

Alamri¹,

AlBasri²,

Abduljabbar³

et al. 2021

Cureus

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BackgroundGroup B Streptococcus is part of the normal flora of the female urogenital tract and rectum. Vaginal colonization and transmission of this bacteria during delivery can lead to neonatal life-threatening complications, which can be prevented by screening and the administration of intrapartum antibiotics. This study's aim was to assess the level of awareness of antenatal screening of Group B Streptococcus among women and physicians in Jeddah, Saudi Arabia. MethodsA cross-sectional study using an online survey from a previously published study was distributed among 767 participants in Jeddah from June to August 2020. The participants were family medicine or obstetrics and gynecology physicians and women of reproductive age. ResultsOur results revealed a good level of knowledge of the physicians, although almost half of them reported the need for training to correctly perform screenings. The level of the women's knowledge was relatively poor, their mean knowledge was 50.7%, and the majority were unaware of this infection (85.3%). ConclusionsThis study found a low level of knowledge of Group B Streptococcus among women of reproductive age and physicians in obstetrics and gynecology and family medicine. These findings confirm the importance of increasing the awareness of Group B Streptococcus among these populations to avoid complications associated with this infection.

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Group B Streptococcus colonization among Saudi women during labor

Cited by 14 publications

References 21 publications

Group B Streptococcus Colonization in Pregnancy: Prevalence, Determinants and Antibacterial Susceptibility Pattern in Sagamu, Nigeria

Group B Streptococcus Colonization in Pregnancy: Prevalence, Determinants and Antibacterial Susceptibility Pattern in Sagamu, Nigeria

Clinical Profile and Outcome of Group B Streptococcal Colonization in Mothers and Neonates in Ras Al Khaimah, United Arab Emirates

Awareness of Pregnancy Screening for Group B Streptococcus Infection Among Women of Reproductive Age and Physicians in Jeddah, Saudi Arabia

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